Linking health care to a volatile job market puts health care services at risk. There was a 7% rise in medical debt from 2007-09. Californians are living on a very thin margin because their most of their medical debt is under $2000. More than 50% of their plans are high deductible, which puts additional strain on their budgets. Even Medi-Cal enrolees are under financial strain as it no longer covers as many services.